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Individual

LOUIS J. NACKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
275 MAMMOTH RD, SUITE 2, MANCHESTER, NH 03109-4133
(603) 663-8300
(603) 663-8349
Mailing address
18 ORCHARD VIEW DR, ELLIOT PEDIATRICS AT LONDONDERRY, LONDONDERRY, NH 03053-6605
(603) 552-1350
(603) 552-1359

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9740
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0107423YPNH01
ANTHEM ACES PIN
NH
01
12-40733
UHC PIN
NH
01
2128
CIGNA PIN
NH
05
30009879
NH
01
406452
TUFTS PIN
NH
01
845104
AETNA PIN
NH
01
G03404
ANTHEM REFERRING UPIN
NH
01
HLO004
HPHC PIN
NH
01
P639259
OXFORD
NH
Enumeration date
10/26/2005
Last updated
01/27/2011
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